| Uniting Garden Homes Inc | |
|
4201 N 27th St Milwaukee WI 53216-1807 | |
| (414) 438-9404 | |
| (414) 247-9004 |
| Full Name | Uniting Garden Homes Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4201 N 27th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Desilynn Smith (OWNER) |
| Authorized Official Contact | 4144389404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uniting Garden Homes Inc 4201 N 27th St Fl 7 Milwaukee WI 53216-1807 Ph: (414) 438-9404 | Uniting Garden Homes Inc 4201 N 27th St Milwaukee WI 53216-1807 Ph: (414) 438-9404 |
| NPI Number | 1982343224 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Medicare PECOS PAC ID | 0840727343 |
|---|---|
| Medicare Enrollment ID | O20241223000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982343224 | NPI | - | NPPES |
| Provider Name | Desilynn G Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629329404 PECOS PAC ID: 1759818255 Enrollment ID: I20241223000878 |
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